Director of Market Access
Location: Remote
Reports To: Vice President, Market Access & Reimbursement

A dynamic and forward-thinking diagnostics company is seeking a Director of Market Access to lead efforts in securing favorable medical policy decisions and expanding in-network contracts with both regional and national payers. This role will be instrumental in developing and executing innovative coverage and reimbursement strategies while fostering cross-functional collaboration across the organization.

The Director will engage with a broad range of stakeholders including health plans, ACOs, IDNs, VA/DoD, and other risk-bearing entities to drive positive policy decisions supporting a proprietary diagnostic technology. This is a remote role with no direct reports, reporting directly to the Vice President of Market Access and Reimbursement.

 

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Key Responsibilities

• Medical Policy Advocacy: Lead the development and promotion of positive medical policy decisions with payers, technology evaluators, and laboratory benefit management companies.

• Payer Contracting: Drive the in-network contracting process with key regional and national payers, ensuring inclusion of the diagnostic test in payer networks at competitive reimbursement rates.

• Negotiation Leadership: Oversee all payer negotiations, including those with commercial insurers, Medicare, Medicaid, and third-party administrators to secure favorable terms.

• Strategy Execution: Implement and manage both regional and national market access strategies designed to expand payer coverage and drive reimbursement success.

• Stakeholder Engagement: Cultivate and maintain relationships with key payer stakeholders such as medical directors, policy makers, and reimbursement specialists.

• Data Utilization: Collaborate with internal teams to compile and present compelling clinical and economic data that supports policy change and reimbursement.

• Competitive Analysis: Stay informed of competitive landscape and emerging trends to identify risks and opportunities, adjusting strategy accordingly.

• Cross-Functional Collaboration: Work closely with sales, marketing, clinical, and regulatory teams to align market access efforts with broader organizational goals.

• Performance Reporting: Track and communicate progress on key initiatives, payer negotiations, and access milestones to senior leadership.

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Qualifications

• Bachelor’s degree in life sciences, healthcare, business, or a related field; advanced degree (MBA, MHA, or equivalent) preferred.

• 2–5 years of experience in market access, reimbursement strategy, or payer contracting in the diagnostics or healthcare industry.

• Demonstrated success in driving in-network contracts and securing favorable medical policy coverage.

• In-depth understanding of payer systems and reimbursement mechanisms across commercial and government programs.

• Strong negotiation, communication, and relationship-building skills.

• Experience presenting clinical and economic data to diverse payer audiences.

• Proven ability to manage multiple priorities and drive strategic outcomes.

• Willingness to travel at least 25% of the time.

• Self-starter with a strategic mindset and results-driven approach.

• Experience with sole-sourced diagnostic tests is a plus.